12/06/2025
"Imagine a child given a worksheet. He puts his head on the desk to do his work viewing through one eye as he can see the worksheet with one eye, not two. He gets punished repeatedly for this and humiliated in the classroom of 30 children. So he tries to behave. He sits up straight but cannot see the work. So he does not do the work. He looks around at all the other kids who are doing the work and begins to feel like something is wrong with him. He is only 7 and has no idea that his eyes are not normal, as he has gone to the eye doctor since he was 3 and was told he had 20/20 vision. He gets punished again for not doing his work and is seemingly distracted. The teacher recommends ADHD medication. Many parents follow the recommendation, checklists are completed, "evaluations" done by pediatricians, psychologists, etc...insurance covers this. Medication is prescribed. However, problems continue until...a keen young doctor of optometry tests a bit further and then recommends a comprehensive evaluation. Low and behold, the kid has moderate convergence insufficiency and has double vision out 35cm. Add to this an inability to accommodate when looking back and forth from board to desk. Add moderate tracking issues that impact the fluency of his reading. This debate is unjust to the children in need of an adequate assessment of visual function." - Tiffani Lawton, RN Editorial Director at Special-Ism.